Provider First Line Business Practice Location Address:
535 N ALAMEDA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90012-3405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-485-0439
Provider Business Practice Location Address Fax Number:
213-253-9582
Provider Enumeration Date:
03/12/2007